Provider Demographics
NPI:1508308859
Name:MEADE, CHRISTIAN NATHANIEL (DNP)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:NATHANIEL
Last Name:MEADE
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:287 BARGER HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BLOUNTVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37617-3469
Mailing Address - Country:US
Mailing Address - Phone:276-275-9644
Mailing Address - Fax:
Practice Address - Street 1:6419 BRISTOL HWY
Practice Address - Street 2:
Practice Address - City:PINEY FLATS
Practice Address - State:TN
Practice Address - Zip Code:37686-5208
Practice Address - Country:US
Practice Address - Phone:423-538-5202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024174304363L00000X
FLARNP9368910363L00000X
TN28495363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner